| OCR Text |
Show County STATE OF UTAH DIVISION OF STATE HISTORY Washington HISTORIC SITES SURVEY (Type or Print - Complete Applicable Sections) htL/::i1·.i(:itiit::.>;:~,~:; • .·.•·•••.• ••• ·;··:··· ...~-:'·.··.::·.·:::.·;.:\:::::?:.:::>.i/:::i;:;':?V:';;:;(::<::./::·~:~·:·::·:·'~:;;;'i)::·:/\:=' Common: • :• /:::·.• :\i/::.:/i;'::·'·:;~ :;:.'.:;:::;:i··:::;/:::i/.::.: Grafton Meetin~ House and/or Historic: Street and Number or Other Description of L ocati on City, Town, or Township Grafton State I Code I County: I 49 I UTAH Vlash ington 1.::·3. ...·.~.:.:.:..:.:.:.::.·r.-. :.·.::··.: A ••• ·~ . · .• ·.H ••. ~ •. • •. : . ~ .. "' . • . . • J\ .... -.·.· .·..·.·•.~.:.N . • . · . · . • . : . · . · .. ~ . • . : . . : . : . : . .................... : . . . . . . . . . . . . : . : . . : . . . • . . : . . : . . : . . . : . . • . . : . : . • . . ""::"::"::' : -' : ' : ' :-:' : ' } :' : .::: .:. "::' : " . . : :. . : .....:.:..::-.;..: ::.:::.::; ........... :':.-':.....:::'::. .......... .:.: ..•.:.:•:. •.:.:. . . . •. :.•. . I: :.; ·: .. ·:.. -.·: ::·. ·.·0·::. ,.: ..:.:::.:...;.:;......;.;:.:.:. .::::-:.::::.;.: ::;",':. r ~~ I Code I t.;_ I':'\·f~·,(·V CATEGORY (Check One) 0 0 District Site OWNERSHIP Building tX Structure 0 Object 0 Public Private Both ~ Public Acquisition : 0 Being Co nsidered 0 0 0 ACCESSIBLE TO THE PUBLIC STATUS In Process Occupied 0 Unoccupied I2\l Preservation work i n progress 0 Yes: Restricted 0 Unrestricted ~ - 0 No: PRESENT USE (Check One or More as Appropriate) Agricultural Commercial 0 0 Government Industrial 0 Entertainment 0 Educational Military Museum 0 0 Park o o Religious o Private Residence 0 Transportation o Zoning (Specify) Other (Specify) 121 Comments 0 o Scientific ('l o c: ;! < ;:rY:i:>/\\··::··::.(':){{):;"·:·:··/::;\i;:·:;/ Owners Name: Street and N um ber City or Town : I Zip Code State: I Code I Courthouse, Registry of Deeds, Etc: Street and Number : (fl ;:+. City or Town : Zip Code Approximate Acreage of Nominated Property: I Code I 49 '" Z III 3 '" Title of Survey Records : Date of Survey : Federal o State o County 0 o Local Depository for Survey Records: S treet and Number: City of Town: Form HSS-T /69/3M I State: o III .... (\) Zip Code I Cod e I |
